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SOUTHWELL AMBULATORY INC NPI 1164069472


NPI Information

NPI: 1164069472
Provider Name: SOUTHWELL AMBULATORY INC

Doing Business As: SOUTHWELL GASTROENTEROLOGY

Classification: Internal Medicine - 207RG0100X
Entity Type: Organization

Specialization: Gastroenterology

Address:
410 CONNELL ROAD
VALDOSTA, GA
ZIP 31602
Phone: (229) 244-1570
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SOUTHWELL AMBULATORY INC is a gastroenterology internal medicine in Valdosta, GA. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. SOUTHWELL AMBULATORY INC NPI is 1164069472. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southwell Gastroenterology.

The provider's business location address is:

410 CONNELL ROAD
VALDOSTA, GA
ZIP 31602-407
Phone: (229) 244-1570
Fax: (229) 299-4291

The provider's authorized official is Troy Brooks .
The authorized official title is Svp/cfo and has the following contact phone number (229) 353-3397.

The enumeration date for this NPI number is 12/5/2019 and was last updated on 10/18/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RG0100XInternal MedicineGastroenterologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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